Patient Initiated Follow-Up (PIFU) is gaining momentum in the NHS, aiming to optimize outpatient care amidst rising service demands. PIFU is valuable in rheumatology, where the increasing demand for ongoing management exacerbates the patient backlog. Importantly, PIFU has demonstrated comparable safety and outcomes to traditional care in numerous studies. PIFU empowers patients, drives personalized care, increases efficiency, and has the potential to reduce waiting lists by allowing services to focus on new and acute cases. Effective PIFU implementation includes careful selection of patients, educating patients and healthcare staff, well defined operational guidelines, and robust remote monitoring. Digital solutions can enhance PIFU through patient education, active remote monitoring and streamlined escalation. Electronic Patient Reported Outcome Measures (ePROMs) provide a suitable and safe metric to monitor patients remotely. Given the potential benefits, outpatient departments should consider investing in PIFU as a solution to current healthcare delivery challenges and as a means for future proofing clinical systems against increasing service demands.

The Southeast Asian economies have been highly proactive in developing Geographical Indicators (GIs) within their jurisdictions. For instance, Thailand developed its “One Tambon One Product” (OTOP) project to support community co-operatives in tambons (sub-districts) and villages throughout Thailand. The aim was to increase village incomes and preserve local wisdom. This followed Japan's One Village One Product (OVOP) program. This was followed by its “One Province, One GI” to encourage each of its 76 provinces and Bangkok to develop at least one GI product. The aim was to increase village incomes and preserve local wisdom. Subsequently, the Lao People’s Democratic Republic (PDR) established its One District One Product (ODOP) program. In addition, local communities throughout most of the eleven Southeast Asian Nations, often with the support of external development agencies, have protected their products using GIs or Trademark legislation. The number of domestic GIs registered within the eleven Southeast Asian nations as of April 2024 was Cambodia with seven, Indonesia with 127, Lao PDR with six, Malaysia with 79, Thailand with 194, and Vietnam with 94. These cover both agricultural and non-agricultural products, with the majority in each jurisdiction being the agricultural sector. This paper outlines the legislative framework of GI protection of products from the above jurisdictions and how the legislation has provided a framework for local entrepreneurs and communities to develop and protect local products, thus improving the quality of life of those local communities, whether as producers or providers of labour. Cambodia and Lao PDR have also followed a different path to registering GIs as they are parties to the World Intellectual Property Organisation’s Geneva Act, which provides a one-stop shop for registering GIs. Products protected by the relevant legislation include agricultural products, products derived from agricultural products, cooked food, handicrafts, and woven cloth, including associated designs and pottery methods and designs. Three examples are provided in detail: Kampot Pepper – Producers return to ancestral lands after 40 years of civil war and unrest; Bolaven Coffee – International development agencies support small landholders to form a co-operative to support the development of their community; and Mak Mao Berry Juice – One man’s 30-year passion to commercialise a local product.

Government operations and services are undergoing a rapid shift towards digitalization, but for this to be successful, it is essential that such government systems are transparent for citizens and government officers to effectively utilize and make sense of them. This study, therefore, examines system mechanisms and citizen engagement with Social Security Office (SSO)s’ benefit payment services to enhance operational transparency. We use a case study of the SSO in Thailand, where digitalization has had a high priority across all areas of government administration. Social Security Benefits (SSB) payment form a large portion of government spending relative to public revenue, highlighting the need to increase the transparency of government action. It remains unclear, however, how and in what ways digital technologies in the benefit payments can improve this situation. We explore the transparency indicators of the benefit payment system by interviewing public officers and insured persons using a set of transparency frameworks. We examine the relationship between how individuals engage with digital technology and its consequences on the system's transparency. Results show that designing systems transparency in SSB payments is challenging due to complex socio-technical issues. We recommend that HCI designers and system developers are concerned not only with technological aspects but also organizational, human, and social aspects, enhancing transparency for the benefit payments.

This study examines the application of blockchain technology in addressing the increasing prevalence of mental health issues among young adults in the UK. Despite the recognition of the potential of digital health solutions and mental health apps by healthcare organizations and professionals, many individuals are hesitant to share sensitive information due to security concerns. To address this, the study proposes utilizing blockchain technology to create a patient-centred, transparent system for data access control that adheres to the General Data Protection Regulation (GDPR) and established security protocols. The research includes the development of a proof-of-concept decentralized web application, which incorporates a modified scrum methodology, test-driven development, clearly defined security requirements, and design patterns for security and gas optimization. The study concludes with an evaluation of the application, insights from automated security analytics, and recommendations for future research.

There is a worldwide trend to take account of the WIPO Global Innovation Index (GII) when driving the innovation potential of national economies at a high level as well as at the micro level to encourage local industries. Analysis of the background data shows that such approaches might be misplaced. This study is an in-depth analysis of the underlying GII data of the ten ASEAN economies to determine each economy’s patterns, strengths, and weaknesses. The literature guides which pillars and sub-pillars for innovation should be assessed. Analysis should keep at the front of mind that developing nations have significantly differentiated institutional structures, so policy measures from one system cannot be simply taken from one jurisdiction and applied to another. Assessing the components of the seven innovation pillars used by WIPO to develop the annual GIIs shows that a number of the components cannot be improved over the short term. Hence, they will have limited effect on improving the innovation potential of a particular industry. In other words, there is a need to drill down into the data and identify areas for focus to improve innovation potential in both short and medium terms. Simply focussing on the components and pillars that will have the most significant impact on improving the GII is a fool’s errand as it may have a limited impact on innovation output. The paper explore the GII rankings at the component level of each of the ten economies: one is developed, six are developing, and three are least developed, according to United Nations criteria. Some components can only be improved at the government level, whilst others can be improved at the industry level. Strategies will then be presented on how industries can improve their innovation potential and hence improve the nation’s potential.

Marginalised rural communities, particularly in tropical countries such as those within Southeast Asia, are often aware of the use of indigenous herbs and agricultural products but concomitantly oblivious as to the means of protection and promotion of using their traditional knowledge. It is estimated that around 1,500 plant species have been widely used for traditional medicines in Southeast Asia. The paper will commence with a discussion of the meaning of “traditional knowledge”, adopting a utilitarian perspective. The paper focuses on the countries of Southeast Asia and provides a legal analysis of the protection of traditional knowledge provided under international treaties, namely: Agreement on Trade-related Aspects of International Property Rights (TRIPS); International Convention for the Protection of New Varieties of Plants (UPOV), International Treaty on Plant Genetic Resources for Food and Agriculture (ITPGRFA); and the Convention on Biological Diversity (CBD). To date, the World Intellectual Property Organization (WIPO) has been unable to agree on the contents of an international legal instrument relating to intellectual property rights over genetic resources, traditional knowledge, and traditional culture. The legislative responses of the 11 nations of Southeast Asia are analysed. Much of the focus of international treaties is on protecting plant breeders’ rights over farmers’ rights, and this imbalance should be addressed. Governments should be proactive and amend their patent legislation to require patent applicants to declare their use of indigenous resources and knowledge. Examples of the development and promotion of traditional knowledge are briefly described.

Innovation has been identified as a critical indicator for an economy to succeed in the fourth industrial revolution. Historically, some members of the Association of Southeast Asian Nations have been better known for violation of intellectual rights rather than their protection. However, this is changing as their economies develop and they have been better integrated into the global economy. Integration has been facilitated by their membership of the World Trade Organization and bilateral Free Trade Agreements (FTAs) between individual states and their trading parties. ASEAN has entered into plurilateral FTAs with some of its trade partners. A key element of these plurilateral FTAs is that most dedicate a Chapter on the protection of intellectual property rights. These clauses have two essential elements. Firstly, they set out the obligations of the parties to protect intellectual property rights and their commitment to seek membership of intellectual property treaties. Secondly, the parties undertake to assist the lesser developed members with improving their processes and procedures so that they can accede to appropriate treaties. The research analysed the impact of these multilateral FTAs on the protection of patents and marks by the individual ASEAN members.

Control rooms have long been a key domain of investigation in HCI and CSCW as sites for understanding distributed work and fragmented settings, as well as the role and design of digital technologies in that work. Although research has tended to focus mainly on 'command and control' configurations, such as rail transport, ambulance dispatch, air traffic and CCTV rooms, centres of coordination shaped by artistic and performative concerns have much to contribute. Our study examines how a professional team of artists and volunteers stage manage and direct the performance of a mixed reality game from a central control room, with remote runners performing live video streaming from the streets nearby to online players. We focus on the work undertaken by team members to bring this about, exploring three key elements that enable it. First, we detail how team members oriented to the work as an artistic performance produced for an audience, how they produced compelling, varied content for online players, and how the quality of the work was ongoingly assessed. Second, we unpack the organisational hierarchy in the control room's division of labour, and how this was designed to manage the challenges of restricted informational visibility there. Third, we explore the interactional accomplishment of the performance by looking at the role of radio announcements from the event's director to orchestrate how the performance developed over time. Announcements were used to resolve trouble and provide instructions for avoiding future performative problems; but more centrally, to give artistic direction to runners in order to shape the performance itself. To close we discuss how this study of a performance impacts CSCW's understandings of control room work, how the problem of 'diffuse' tasks like artistic work is co-ordinated, and how orientations towards quality as an artistic concern is manifest in / as control room practices. We also reflect on hierarchical and horizontal control room arrangements, and the role of video as both collaborative resource and product.

The COVID-19 pandemic forced civil society and business to face a new reality where much greater reliance needed to be placed on networked devices and internet distributed communications, including the provision of services ranging from medical advice to food, entertainment and even the facility to interact with family. The ability to meet in-person with family, friends, colleagues, business associates or customers was severely restricted leaving internationalisation as a utopian dream as borders were closed, students were denied access to a physical classrooms and businesses had to rapidly “pivot” or fail. These alternatives to real life have seemed less appealing to many, with every aspect of life “going online”, whether virtual lectures, exams, meetings, mediations, court appearances, job interviews, shopping for a piece of cheese or starting a new trade relationship. Much innovation over the last two years has been around deploying online business models. There has also been a wider use of artificial intelligence to support “efficient” operations partly stimulated by the falling staffing levels due to the pandemic directly through sickness or forced isolations, or indirectly by a growing sense of the futility of working for a business, known as the Great Resignation (“Over the 12 months ending in January 2022, hires totalled 76.4 million and separations totalled 70.0 million…” indicating a huge refocusing on jobs in the USA) This paper looks at the challenge for legal systems to pivot around the growing trends in deployments of online innovation. Some businesses are now widely deploying software-based analysis systems, such as Airbnb, which is using them to “verify the identity and trustworthiness of a user of an online system” and flag potential guests who may be problematic. Although Airbnb is a multibillion-dollar business, it is a good example of how through using publicly available data, user supplied information, and smart software (artificial intelligence) a business can make predictions on the behaviour of its potential customers. Other AI resources have been creating new gaming scenarios, reporting on the news, and even creating new artworks and music. These kinds of use of AI in the marketplace have challenged the legal frameworks that support individual privacy and also ideas around human creativity.

The digitization of financial transactions in both Global North and Global South has led to considerable shifts in how money is used, understood, and processed by users, banks, and fintechs. This shift from physical cash to digital media, accelerated by the COVID-19 push for digital transactions, has impacted how users perceive and use digital money and opened avenues for more data collection. This diverse panel proposes a discussion to understand the set of opportunities and challenges around the design of digital financial services (DFS) and data-driven decision-making in DFS. We will create a live working document starting before the panel to document the discussion, which develops during and after the panel. This live document will enable community to engage with a broader audience of researchers and industry, outlining processes, methods, and tools that researchers and practitioners have created to work with users to develop new equitable DFS and further exploration.

Unauthorised access to data has raised concern amongst business, citizens and legislators globally. However, different jurisdictions have taken various approaches ranging from controlling access via data protection legislation to deeming liability based on the nature of the data, such as through privacy legislation. This paper is a comparative analysis of the privacy legislation of the Philippines, Thailand and Australia through their Data Privacy Act of 2012, the Personal Data Protection Act 2019, and the Privacy Act 1988, respectively. These Acts have many provisions, and Australian states also have their own acts. The Australian federal legislation is the most developed of the three and its effectiveness can be evaluated by outcomes of investigations and enforceable undertakings issued for data breaches. In all three countries, the primary data privacy legislation is also supported by privacy-related provisions under other statues. The analysis focuses on types of data protected by privacy provisions, methods for investigating breaches and imposing penalties, and whether breaches result in administrative action, civil liability or criminal offences.

BackgroundOur goal was to investigate the role of physical exercise to protect brain health as we age, including the potential to mitigate Alzheimer's-related pathology. We assessed the effect of 52 weeks of a supervised aerobic exercise program on amyloid accumulation, cognitive performance, and brain volume in cognitively normal older adults with elevated and sub-threshold levels of cerebral amyloid as measured by amyloid PET imaging.Methods and findingsThis 52-week randomized controlled trial compared the effects of 150 minutes per week of aerobic exercise vs. education control intervention. A total of 117 underactive older adults (mean age 72.9 [7.7]) without evidence of cognitive impairment, with elevated (n = 79) or subthreshold (n = 38) levels of cerebral amyloid were randomized, and 110 participants completed the study. Exercise was conducted with supervision and monitoring by trained exercise specialists. We conducted 18F-AV45 PET imaging of cerebral amyloid and anatomical MRI for whole brain and hippocampal volume at baseline and Week 52 follow-up to index brain health. Neuropsychological tests were conducted at baseline, Week 26, and Week 52 to assess executive function, verbal memory, and visuospatial cognitive domains. Cardiorespiratory fitness testing was performed at baseline and Week 52 to assess response to exercise. The aerobic exercise group significantly improved cardiorespiratory fitness (11% vs. 1% in the control group) but there were no differences in change measures of amyloid, brain volume, or cognitive performance compared to control.ConclusionsAerobic exercise was not associated with reduced amyloid accumulation in cognitively normal older adults with cerebral amyloid. In spite of strong systemic cardiorespiratory effects of the intervention, the observed lack of cognitive or brain structure benefits suggests brain benefits of exercise reported in other studies are likely to be related to non-amyloid effects.Trial registrationNCT02000583; ClinicalTrials.gov.

There is evidence that exercise benefits the brain, but the mechanisms for this benefit are unclear. The chronic benefits of exercise are likely a product of discreet, acute responses in exercise-related blood biomarkers and brain metabolism. This acute exercise response has not been compared in aging and Alzheimer's Disease (AD). It is known that acute exercise elicits a powerful peripheral response in young individuals, and exercise-related biomarkers such as glucose and lactate readily penetrate the brain. How this changes with aging and neurodegenerative disease is less clear. It is critical to characterize and understand the acute effects of exercise, including different exercise intensities, in terms of the peripheral metabolic response and relationship with brain metabolism. This will help determine potential mechanisms for brain benefits of exercise and better inform the design of future clinical trials. The primary goal of the AEROBIC study is to characterize the acute exercise response of brain glucose metabolism and exercise-related blood biomarkers. We will measure how cerebral metabolism is affected by an acute bout of moderate and higher intensity exercise and characterize the extent to which this differs between cognitively healthy older adults and individuals with AD. Related to this primary goal, we will quantify the peripheral biomarker response to moderate and higher intensity exercise and how this relates to brain metabolic change in both groups.

The research is a legal review based on the documentary research concept by comparing the development of legislative responses to fake news spread in Southeast Asia. Anti-fake news legislation focuses on the transmission of information by electronic means than print media. The analysis is carried out for each of the member states by including a clause-by-clause examination of the legislation and subsequent cases addressing legal issues associated with the laws. Several common factors should be addressed to provide a fairer and more transparent approach, including developing a clear-cut definition of fake news. Two key elements should be met in the definition of spreading of fake news: it should be the intentional spreading of misinformation or disinformation by design. The research suggests it would be better to develop anti-fake news legislation as either a standalone statute or a specific amendment to existing legislation than include fake news in omnibus legislation. Except in the most serious cases, creating, publishing, or distributing fake news illegality should be reduced from a criminal offence to an administrative offence, where the police issue a fine. Given the documented publishing and spreading of disinformation by state actors, their servants and agents, there should be an explicit “fake news” offence associated with the action of such persons.

This paper presents a pattern language for curriculum design and renewal. The language comprises seventeen interconnected design patterns that can be used together to plan, organise, and implement curriculum design from an institutional down to a course level. These patterns have been derived from curriculum design activity at several higher education institutions and provide both theoretical and practical insights into the requirements for successful change.

This paper explores the implication of the use and appropriation of collaborative technologies in digital disaster response. Using a virtual ethnographic approach, we studied the work of Humanity Road through participant observation of seventeen response operations across thirteen countries for seventeen months. The results identify critical areas where collaborative technologies have been successfully deployed for organising disaster responses. Our analysis offers insights into the areas where these technologies have facilitated or hindered the capacity of cooperative work during response operations. We conclude by suggesting implications for design and practice.

The COVID-19 pandemic and the recent term of the United States President, Donald Trump, brought the term “fake news” to the attention of the broader community. Some jurisdictions have developed anti-fake news legislation, whilst others have used existing cybercrime legislation. A significant deficiency is the lack of a clear definition of fake news. Just because a person calls something “fake news” does not mean that it is indeed false. Especially during pandemics, the primary aim should be to have misinformation and disinformation removed quickly from the web rather than prosecute offenders. The most widely accepted international anti-cybercrime treaty is the Convention on Cybercrime developed by the Council of Europe, which is silent on fake news, the propagation of which may be a cybercrime. There is an Additional Protocol that deals with hate speech, which the authors consider to be a subset of fake news. Using examples from Southeast Asia, the paper develops a comprehensive definition of what constitutes fake news. It ensures that it covers the various flavours of fake news that have been adopted in various jurisdictions. Hate speech can be considered a subset of fake news and is defined as the publication or distribution of fake news with the intention to incite hatred or violence against ethnic, religious, political, and other groups in society. The paper proposes some offences, including those that should be applied to platform service providers. The recommendations could be easily adapted for inclusion in the Convention on Cybercrime or other regional conventions. Such an approach is desirable as cybercrime, including propagating fake news, is not a respecter of national borders, and has widespread deleterious effects. Keywords: Fake news; hate speech; Convention on Cybercrime; draft legislation